Individual provider Active NPI

Monique C Barnett, LCPC

  • Counselor
  • Waldorf, MD
National Provider Identifier
1679272645
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC162668 Issued in MD
Practice address
2670 Crain Hwy Ste 105
Waldorf, MD 20601-2820
Phone
(301) 266-2154
NPI assigned
Feb 28, 2023
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC162668 MD Primary
Professional Counselor 101YP2500X LC162668 MD

Addresses

Primary practice location

2670 Crain Hwy Ste 105
Waldorf, MD 20601-2820

Mailing address

5604 Barnstormers LN
Waldorf, MD 20602-3281
Phone (301) 266-2154

Other practice location 1

5604 Barnstormers Ln
Waldorf, MD 20602-3281
Phone (301) 266-2154

Other practice location 2

2670 Crain Hwy Ste 105
Waldorf, MD 20601-2820
Phone (301) 266-2154

Other identifiers 1

IdentifierTypeStateIssuer
92-1690231OtherMDIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925004957 DC Practitioner - Mental Health Counselor 7012412422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1802 Brightseat Rd
Suite 300
Hyattsville, MD 20785-4244

PO Box
Suite 833
Monroe, VA 24574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC162668MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Creative Education Solutions Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Imind Health LLC Multi-Specialty Current Accepting new patients
Imind Health LLC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Imind Health LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1802 Brightseat Rd
Ste 300
Landover, MD 20785
Phone (240) 249-0989

4640 Forbes Blvd
Ste 375
Lanham, MD 20706
Phone (240) 249-0989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1679272645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 BARNSTORMERS LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023281",
            "telephone_number": "301-266-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 105",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012820",
            "telephone_number": "301-266-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 Barnstormers Ln",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023281",
            "country_code": "US",
            "telephone_number": "301-266-2154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2670 Crain Hwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012820",
            "country_code": "US",
            "telephone_number": "301-266-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MONIQUE",
        "middle_name": "C",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC162668",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC162668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "92-1690231",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.